How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $831.76 Median $5,011.87 Typical High $7,943.28 | Facility | None | $831.76 | $5,011.87 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $501.19 Typical High $1,445.44 | Professional | None | $389.05 | $501.19 | $1,445.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $512.86 Median $1,000.00 Typical High $6,918.31 | Facility | None | $512.86 | $1,000.00 | $6,918.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $467.74 Median $691.83 Typical High $1,202.26 | Professional | None | $467.74 | $691.83 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $2,570.40 Typical High $3,235.94 | Facility | None | $537.03 | $2,570.40 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $758.58 Typical High $1,348.96 | Professional | None | $478.63 | $758.58 | $1,348.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $426.58 Median $524.81 Typical High $1,819.70 | Professional | None | $426.58 | $524.81 | $1,819.70 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,479.11 Typical High $5,370.32 | Facility | None | $851.14 | $1,479.11 | $5,370.32 |
United Setting Professional Modifier None Typical Low $467.74 Median $676.08 Typical High $1,202.26 | Professional | None | $467.74 | $676.08 | $1,202.26 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $194.98 Median $234.42 Typical High $275.42 | Professional | 52 · Reduced service | $194.98 | $234.42 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $93.33 Typical High $109.65 | Professional | 53 · Discontinued | $79.43 | $93.33 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $354.81 Typical High $407.38 | Professional | 54 · Surgery only | $295.12 | $354.81 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $70.79 Typical High $83.18 | Professional | 55 · Aftercare only | $58.88 | $70.79 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $46.77 Typical High $54.95 | Professional | 56 · Pre-op care only | $38.90 | $46.77 | $54.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $331.13 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $275.42 | $331.13 | $380.19 |
Where Georgia sits
The same service costs 6.5 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Georgia· 18th of 51
$759
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.